Provider Demographics
NPI:1548522675
Name:EZEOKE, CHUKWUEMEKA CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:CHUKWUEMEKA
Middle Name:CHARLES
Last Name:EZEOKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1680 ANTILLEY RD STE 120
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5279
Mailing Address - Country:US
Mailing Address - Phone:325-428-5710
Mailing Address - Fax:325-428-5704
Practice Address - Street 1:1680 ANTILLEY RD STE 120
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606
Practice Address - Country:US
Practice Address - Phone:325-428-5710
Practice Address - Fax:325-428-5704
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR8184207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology